Effect of kangaroo mother care in the management of low birth weight babies one year randomized controlled trial at NRI hospital
Abstract
Introduction: Hypothermia and infections are frequently factors for poor outcome of premature /LBW babies.
Methods: A one year randomized controlled trial was conducted among 60 neonates born and admitted in NICU, department of paediatrics, NRI medical college, Guntur. Mothers with LBW infants were enrolled after taking informed consent. Babies were randomised into KMC group and CMC group with 30 babies in each group. In both groups, physiological stability, growth, promotion of breast feeding, bonding and confidence of mothers in taking care of their LBW babies were assessed. Both groups were followed till they reached 2.5 kg on scheduled visits.
Results: In the present study, it was observed that all babies of KMC maintained temperature in normal range. 36.5 to 37.5 compared to 86.6% of control babies. The mean weight gain (15.73 gm in KMC versus 11.63 gm in CMC, P< 0.0001 ) and mean head circumference at 2.5 kg, ( 34.440.5+4 cm in KMC VS 33.220+54 cm 33.221.0+5 cm in CMC), p< 0.0001 were significantly higher in KMC group. There was no significant difference in mean length between both the groups. The confidence level of mothers in caring for their LBW infants was significantly higher in KMC group p< 0.0001.
Conclusion: KMC is a cost effective, safe, most acceptable method of caring for LBW babies.
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